| NPI | 1073393666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY EMANUEL SHUMAKER Recovery Specialist 661-431-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |